Raphael Patcas1, Susan J Cunningham2, Justin Shute3, Timothy Lloyd4, Joachim A Obwegeser5, Lida Arjomand2, Sujata Sharma2. 1. Clinic for Orthodontics and Paediatric Dentistry (Head: Prof. Theodore Eliades, DDS, MS, Dr Med Sci, PhD), Centre for Dental Medicine, University of Zurich, Plattenstrasse 11, 8032 Zurich, Switzerland. Electronic address: raphael.patcas@zzm.uzh.ch. 2. Department of Orthodontics (Head: Prof. Stephen Porter, PhD, MD, MBBS, BDS, BSc (Hons), FHEA), Eastman Dental Hospital, University College London Hospitals NHS Foundation Trust, 256 Gray's Inn Road, London WC1X 8LD, UK. 3. Eastman Dental Hospital (Head: Dr. Tim Hodgson, BDS, MRCP (UK), FDS RCS (Eng)), University College London Hospitals NHS Foundation Trust, 256 Gray's Inn Road, London WC1X 8LD, UK. 4. Department of Oral and Maxillofacial Surgery (Head: Dr. Tim Hodgson, BDS, MRCP (UK), FDS RCS (Eng)), Division of Growth and Development, Eastman Dental Hospital, University College London Hospitals NHS Foundation Trust, 256 Gray's Inn Road, London WC1X 8LD, UK. 5. Limmat Cleft- and Craniofacial Centre (Head: Prof. Joachim Obwegeser), Hardturmstrasse 133, 8005 Zürich, Switzerland; Department of Oral and Maxillofacial Surgery (Head: Prof. Dr. med. Martin Meuli), University Children's Hospital Zurich, Steinwiesenstrasse 75, 8032 Zurich, Switzerland.
Abstract
PURPOSE: This audit investigated factors which motivate patients to seek orthognathic treatment, assessed how confident patients were that they would be satisfied with the outcome of treatment, and explored possible influencing factors. MATERIALS AND METHODS: Questionnaires were distributed to pre-surgical patients at two centres (United Kingdom and Switzerland); questions asked what patients wished to gain from orthognathic treatment and how confident they were that they would be satisfied with treatment outcome. Gender, age and location were recorded as demographic variables, and type of malocclusion was also recorded. RESULTS: A total of 202 questionnaires were returned (UK, n = 149; Switzerland, n = 53). Reported motivating factors focused on improvements in aesthetics (specified and unspecified) (UK vs. Switzerland: 91.3% vs. 83.0%), function (72.5% vs. 66.0%), psychosocial health (51.7% vs. 20.8%), speech (4.0% vs. 7.5%), alleviation of pain (5.4% vs. 17%) and normalization of breathing (1.3% vs. 7.5%). No significant relationships were observed relative to patient age, gender or malocclusion. The anticipated satisfaction levels were generally high (86.5% vs. 89.9%). CONCLUSION: Although the distribution of motivational factors varied between the two sites, it did not affect the anticipated satisfaction level. Patients were generally confident that they would be satisfied with their treatment outcome and that their reasons for seeking treatment would be addressed.
PURPOSE: This audit investigated factors which motivate patients to seek orthognathic treatment, assessed how confident patients were that they would be satisfied with the outcome of treatment, and explored possible influencing factors. MATERIALS AND METHODS: Questionnaires were distributed to pre-surgical patients at two centres (United Kingdom and Switzerland); questions asked what patients wished to gain from orthognathic treatment and how confident they were that they would be satisfied with treatment outcome. Gender, age and location were recorded as demographic variables, and type of malocclusion was also recorded. RESULTS: A total of 202 questionnaires were returned (UK, n = 149; Switzerland, n = 53). Reported motivating factors focused on improvements in aesthetics (specified and unspecified) (UK vs. Switzerland: 91.3% vs. 83.0%), function (72.5% vs. 66.0%), psychosocial health (51.7% vs. 20.8%), speech (4.0% vs. 7.5%), alleviation of pain (5.4% vs. 17%) and normalization of breathing (1.3% vs. 7.5%). No significant relationships were observed relative to patient age, gender or malocclusion. The anticipated satisfaction levels were generally high (86.5% vs. 89.9%). CONCLUSION: Although the distribution of motivational factors varied between the two sites, it did not affect the anticipated satisfaction level. Patients were generally confident that they would be satisfied with their treatment outcome and that their reasons for seeking treatment would be addressed.
Authors: Hon Kwan Woo; Deepal Haresh Ajmera; Pradeep Singh; Kar Yan Li; Michael Marc Bornstein; Kwan Lok Tse; Yanqi Yang; Min Gu Journal: Head Face Med Date: 2020-04-28 Impact factor: 2.151